Infertility

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    A OBGYN (Obstetrics & Gynecology), answered on behalf of
    If you're not having a cyclic period every month you may experience infertility. If you're not having a cyclic period once monthly between 21 and 35 days, the number one reason is lack of ovulation. A lack of ovulation is one of the reasons for infertility. Thirty-five percent of women who have infertility actually have a lack of ovulation secondary to polycystic ovarian syndrome. A lack of ovulation, or anovulation, can also be driven by weight. Sometimes being overweight, even by 5 or 10 pounds can throw women  into a lack of ovulation.
     
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    A OBGYN (Obstetrics & Gynecology), answered on behalf of
    To increase your fertility, the best thing you can do is to be physically healthy. Fertility specialists will tell you to have as clean an eating lifestyle and consumption lifestyle as you can before trying to conceive, and to not take in anything that creates cellular damage. 
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    A Reproductive Endocrinology, answered on behalf of
    Infertility due to endometriosis can be treated by a number of options. These can range from ovulation induction medications (for example, clomiphene citrate, letrozole, gonadotropins) in conjunction with timed intercourse or intrauterine insemination (IUI), laparoscopic treatment of endometriosis and in vitro fertilization (IVF). Success rates vary depending on the degree of endometriosis and the various other fertility factors. It is important for women with endometriosis to discuss their fertility potential with a fertility specialist in order to optimize the chances for a successful pregnancy.

    This content originally appeared on http://www.livehealthyaustin.com/
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    A Reproductive Endocrinology, answered on behalf of
    What is preimplantation genetic screening (PGS)?
    Preimplantation genetic screening (PGS) checks the embryo to make sure it has a healthy number of chromosomes. Watch reproductive endocrinologist Noel Peng, MD, of Medical City Dallas Hospital, explain how this determines chances for pregnancy.
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    Women may choose to freeze their eggs for multiple reasons. Some women know that due to career or other life events they will not be planning to have children until after their fertility starts to decline and may need the eggs in order to conceive a child. Other women choose to freeze their eggs prior to treatment that may be toxic to the eggs due to chemotherapy or other medications for cancer or other diseases. Finally, some women choose to freeze their eggs in order to donate them to others with infertility challenges so that they might conceive a child with the help of reproductive specialists through in-vitro fertilization.
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    There are many resources for cancer patients who are facing sterility. A good starting point may be to talk to your oncologist or cancer treatment specialist.

    If you are a man, your doctor may refer you to an urologist. This is a doctor who specializes in the urinary tract.

    Women may be sent to a gynecologist. This type of doctor specializes in the female reproductive organs.

    These doctors can determine if you're a good candidate for having your sperm or eggs saved before cancer treatment to help you have children in the future. They can also discuss other ways for you to have a successful future pregnancy. For example, an option for women may be a surrogate mother. This person carry the baby in their womb when you can't.
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    How can radiation affect fertility?
    Radiation can affect fertility in a couple of ways. In this video, Tamara Sutton, director of cancer services at Los Robles Hospital & Medical Center, explains the risks of radiation treatment. 
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    A answered
    Superovulation is the use of fertility drugs to cause an ovary to release two or more eggs in one cycle rather than one egg, as is usual for a typical menstrual cycle. Superovulation is often used in combination with other fertility treatments, such as in vitro fertilization and intrauterine insemination, to increase a woman's chances of becoming pregnant successfully. This combination of treatments may be recommended for women who have unexplained infertility or endometriosis. Superovulation is also called controlled ovarian stimulation.
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    A answered
    Fertility awareness is a method a woman can use to determine when she is most likely to ovulate, and is therefore most likely to become pregnant. She can then use this method either to prevent pregnancy by avoiding sexual intercourse during her most fertile days, or to increase her odds of becoming pregnant by making sure to have sexual intercourse during those fertile days.
     
    There are several methods for determining your most fertile time of month.
    • The Temperature Method. A woman's body temperature rises slightly each month right at the time of ovulation. By taking her temperature every day first thing in the morning, she can detect this rise and know about the time her ovary is releasing an egg.
    • Cervical Mucus Method. Around the time of ovulation, a woman's cervical mucus increases and also becomes clear and slippery, the consistency of a raw egg white, making it easier for sperm to swim through to reach and fertilize an egg. By monitoring the changes in her cervical mucus, she can identify this fertile time.
    • The Calendar Method and/or "standard days" method both involve keeping track of menstrual cycles on a calendar and identifying how long they are, then determining which days are fertile days and avoiding intercourse during those days.
    If used correctly for pregnancy prevention, fertility awareness methods can be as much as 95 to 97 percent effective. However, about 25 percent of women who don't use fertility awareness methods correctly all the time will become pregnant. Women who have irregular menstrual cycles may be at particularly high risk of unplanned pregnancy while using fertility awareness methods. Also, fertility awareness methods do not protect against sexually transmitted diseases.
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    A answered
    A postcoital test is a medical examination done as part of an infertility workup, to try to determine the cause of a couple's difficulty in becoming pregnant. In a postcoital test, a doctor takes a sample of a woman's cervical mucus within 12 hours after she has sexual intercourse. The doctor then views the sample under a microscope to see if there are sperm cells present and if they are moving normally.

    The timing of a postcoital test is important. It is best to do a postcoital test one to two days before ovulation, when the cervical mucus is thin and stretchy and it is easiest for sperm to swim through it up to the uterus, and eventually to reach the egg. Determining the best time to have a postcoital test can require some vigilance by the woman to take her basal body temperature first thing in the morning, examine her own cervical mucus for signs that ovulation is near and possibly to use an at-home ovulation predictor kit.

    When a postcoital test is timed correctly, a normal result on a postcoital test should mean that a normal number of sperm are present and they are moving forward, the cervical mucus can stretch to two inches or more and when mucus dries, it dries in a fernlike pattern.

    The postcoital test is not used as often as in the past; it is difficult to time correctly, is not considered very reliable and is thus seldom prescribed.